Immediate reconstruction of the mandible after resection for aggressive odontogenic tumours: a cohort study

Simon, Elison N. M.; Merkx, Matthias A.W.; Kalyanyama, Boniphace M; Shubi, F.M.; Stoelinga, Paul J.W.

doi:10.1016/j.ijom.2012.07.010

Cited by 34 publications

(27 citation statements)

References 14 publications

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“…[ 29] This view is supported by the results in the present review in which majority of the procedures that initially presented with signs of infection eventually survived, with only few resulting in graft loss from the uncontrolled infection. It has also been argued that several intra-oral bone grafting procedures are carried out with saliva contamination and most times without water tight closure including bone grafting procedures in implantology and periodontology with low failure rates recorded.…”

Section: Ameloblastic Fibromasupporting

confidence: 67%

“…Some authors believe that the method of immobilization has a big role to play in the success of the graft, [29] -(32), Okoturo [28] - (10), Schlieve et al [23] - (13), Shirani et al [30] -(4), Obiechina et al [25] - (13), Agrawal et al [3] - (8) 80 (74.8)…”

Section: Discussionmentioning

confidence: 99%

“…Obiechina et al [25] - (2) 2 (1.9) Cementoblastoma Schlieve et al [23] - (1) 1 (0.9) Odontogenic cyst Okoturo [28] - (1) 1 (0.9) Central giant cell granuloma Okoturo [28] - (1) 1 (0.9) Spindle cell tumor Shirani et al [30] - (1 ) 1 (0.9) Arteriovenous malformation Schlieve et al [23] - (1) 1 (0.9) Osteoblastoma Schlieve et al [23] - (1) 1 (0.9) Osteomyelitis Agrawal et al [3] - (1) 1 (0.9) Total 107 (100) [23] -(2), Obiechina et al [25] -(1), Agrawal et al [3] -(3), Simon et al [29] -(2), Olusanya et al [19] - (2) Wound dehiscence 5 (31.3) Okoturo [28] -(2), Agrawal et al [3] -(1), Olusanya et al [19] - (2) Orocutaneous fistulation 1 (6.2) Okoturo [28] - (1) Total 16 (100) Although a number of the studies in this review employed rigid fixation of the graft with the use of plates and the authors claiming it as one of the main factors for graft success. Few of the studies due to non-affordability of plates by patients employed the use of stainless steel wires for immobilization with good outcomes even in long defect spans.…”

Section: Ameloblastic Fibromamentioning

confidence: 99%

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Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

Ogundipe¹,

Gbolahan²

2017

PAR

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Section: Ameloblastic Fibromasupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Ameloblastic Fibromamentioning

confidence: 99%

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Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

Ogundipe¹,

Gbolahan²

2017

PAR

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“…Later reconstructions are more difficult due to retraction and fibrosis of soft tissue. Redundant soft tissue is often present, it is essential to immediate bone reconstruction (Simon et al, 2013). In this case reported the immediate reconstruction was planned associated to HBO and was successfully performed.…”

Section: Et Al)mentioning

confidence: 92%

Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy

Pastore

Martins

Goulart

et al. 2016

Int. J. Odontostomat.

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MARTINS, I. S.; GOULART, D. R.; PRATI, A. J.; DE MORAES M.; PASTORE, P. R. & DE TOLEDO, M. C.Surgical management of mandibular ameloblastoma and immediate reconstruction with nonvascularized bone graft and hyperbaric oxygen therapy. Int. J. Odontostomat., 10(3):409-417, 2016.ABSTRACT: Extensive resection of tumor often results in bone and soft tissue defects that cause functional and esthetic consequences. The reconstructive surgery is extremely important for the rehabilitation of these patients. The purpose of this study is to report on the use of Hyperbaric Oxygen therapy (HBO) in the case of a large ameloblastoma treated with segmental resection and reconstructed immediately with nonvascularized bone graft (NVBGs) from iliac crest. A 41-year-old woman was referred to our department because of paresthesia of the inferior alveolar nerve and history of swelling in the molar and ramus region of the left mandible. Panoramic radiograph depicting well-defined multilocular radiolucency extending from second premolar region to the left ramus region. An incisional biopsy confirms the diagnosis of solid ameloblastoma. The treatment of choice was segmental mandibular resection and immediate mandibular reconstruction using NVBGs from iliac crest, followed by removal of internal fixation and placement of dental implants with immediate loading. The patient received preoperative HBO (a 90-min session at 2.2-2.4 atmospheres, five times per week for two weeks, for a total of up to 10 sessions). Postoperative HBO (10 further 90-min sessions) was administered within 2 weeks. The patient received rehabilitation with a mandibular implant-supported fixed complete dental prosthesis. The present study showed successful management of mandibular ameloblastoma that associated extensive surgery, immediate reconstruction with NVBGs from iliac crest, hyperbaric oxygen therapy and dental implants. These combined procedures allowed removal of lesion and reestablishment of mandibular contour and function.

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“…© C I C E d i z i o n i I n t e r n a z i o n a l i grafts harvested from the iliac crest to reconstruct the bone defect, although these were large resections resulting from the removal of large multicystic ameloblastomas (10,16,17). According to Misch et al (18), the minimum alveolar crest dimensions required for implant insertion are 5 mm bone thickness and 10 mm height.…”

Section: Figurementioning

confidence: 99%

Unicystic Ameloblastoma: Rehabilitation With Chin Graft Harvested and Implant-Supported Fixed Prosthesis

Sanz-Alonso

Martínez-Rodríguez

Martín-Arés

et al. 2017

ORL

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SUMMARYObjective. The objective is to present a clinical case of a 38-year-old male with a maxillary unicystic ameloblastoma treated by means of tumor block resection followed by chin-harvested graft placement in order to place two dental implants for esthetic and functional rehabilitation. Methods. Ameloblastoma is a benign odontogenic tumor characterized by local aggression and a high rate of recurrence; the latter partly depends on how it is treated. Complete resection of the tumor, which usually prevents recurrence, produces bone defects of varying size that must be reconstructed later on. In most cases this is done using bone grafts and implant-supported prostheses. Grafts harvested from the chin are relatively easy to obtain and enjoy a fairly uneventful post-operative with few complications; they are suitable for cases in which the defect generated by resection is of small size.Results. Functional and esthetic rehabilitation and the tumor has not relapsed during a 7-year follow-up. Conclusion. Tumor block resection followed by chin-harvested graft placement and dental implants is a safe treatment for patients with unicystic ameloblastoma.

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Immediate reconstruction of the mandible after resection for aggressive odontogenic tumours: a cohort study

Cited by 34 publications

References 14 publications

Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy

Unicystic Ameloblastoma: Rehabilitation With Chin Graft Harvested and Implant-Supported Fixed Prosthesis

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